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Showing results for "examples".

121. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36826/psn-pdf
     December 31, 2014 - https://psnet.ahrq.gov/issue/staying-safe-simple-tools-safe-surgery The author uses examples from his

122. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38267/psn-pdf
     December 03, 2008 - national organizations that sought to outline goals for improving the US health care system and share examples

123. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37718/psn-pdf
     April 23, 2008 - about safety culture, medical errors, and disclosure by using a movie, magazine article, and NASA examples

124. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43237/psn-pdf
     June 04, 2014 - https://psnet.ahrq.gov/issue/after-medical-error-patients-could-become-hospital-insiders Highlighting examples

125. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35925/psn-pdf
     July 26, 2010 - issue/safe-medication-prescribing-and-monitoring-outpatient-setting The author presents three case examples

126. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865806/psn-pdf
     May 08, 2024 - Examples include early discharge from hospital due to crowding, insufficient assessment of activities

127. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40829/psn-pdf
     January 05, 2014 - guide-reducing-unintended-consequences-electronic-health-records This book discusses evidence, tools, and case examples

128. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42275/psn-pdf
     October 08, 2013 - commentary highlights the value of analyzing near misses in preventing errors and includes several examples

129. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34606/psn-pdf
     July 06, 2011 - Many of the examples are from anesthesiology, but the conclusions can be applied broadly throughout

130. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39272/psn-pdf
     February 03, 2010 - https://psnet.ahrq.gov/issue/patient-safety-and-diagnostic-error-tips-your-next-shift Through case examples

131. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39941/psn-pdf
     October 20, 2010 - normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing This commentary describes normalization of deviance and uses examples

132. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38787/psn-pdf
     May 07, 2018 - misidentification-alphanumeric-symbols-both-handwritten-and-computer- generated-information This article discusses examples

133. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35082/psn-pdf
     June 15, 2011 - The examples illustrate how the systems approach serves as an effective tool for understanding errors

134. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61069/psn-pdf
     October 28, 2020 - survey results indicated a high level of psychological safety, observations and interviews identified examples

135. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72475/psn-pdf
     November 18, 2020 - article details the terms and concepts included in (and excluded from) the proposed definition, provides examples

136. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72804/psn-pdf
     March 03, 2021 - how-do-no-harm-empowering-local-leaders-make-care-safer-low-resource- settings In the second of a two-part series, using examples

137. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866580/psn-pdf
     August 28, 2024 - aspen-parenteral-nutrition-safety-consensus-recommendations-translation-practice https://psnet.ahrq.gov/issue/examples-medical-device-misconnections

138. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-21
     January 17, 2018 - This monthly selection of medication error reports provides examples of intravenous amphotericin mix-ups

139. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-36
     December 30, 2014 - This monthly selection of error reports shares examples of topical anesthetic error, methotrexate overdose

140. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-35
     December 30, 2014 - This monthly selection of medication error reports includes examples of drug name confusion, communication